NPIMap

Organization Active NPI

Galina Gitlin DMD, PC

Doing business as Lexington Family Dental Care

  • General Practice Dentistry
  • Lexington, MA
National Provider Identifier
1912327362
Registry record updated Apr 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
20831 Issued in MA
Legal business name
GALINA GITLIN DMD, PC
Doing business as
Lexington Family Dental Care
Practice address
62 Massachusetts Ave
Lexington, MA 02420-4020
Phone
(781) 863-9826
Fax
(781) 863-9829
NPI assigned
Apr 24, 2014
Last updated
Apr 24, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Galina Gitlin, DMDNPI 1417038498
Title
President
Phone
(781) 863-9826

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 20831 MA Primary

Addresses

Primary practice location

62 Massachusetts Ave
Lexington, MA 02420-4020

Mailing address

62 Massachusetts Ave
Lexington, MA 02420-4020
Phone (781) 863-9826

Other identifiers 1

IdentifierTypeStateIssuer
1417038498OtherMATYPE 1 NPI

Other names 1

  • Lexington Family Dental Care Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1398297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398297600000",
    "number": "1912327362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 MASSACHUSETTS AVE",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024204020",
            "telephone_number": "781-863-9826",
            "fax_number": "781-863-9829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 MASSACHUSETTS AVE",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024204020",
            "telephone_number": "781-863-9826",
            "fax_number": "781-863-9829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALINA GITLIN DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-24",
        "last_updated": "2014-04-24",
        "status": "A",
        "authorized_official_last_name": "GITLIN",
        "authorized_official_first_name": "GALINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-863-9826",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "20831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1 NPI",
            "identifier": "1417038498",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lexington Family Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lexington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.